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Hi,   I'm not sure what your pharmacy gave you, but both Flonase and Veramyst do contain the same corticosteroid, fluticasone, as you discovered. And they're both made by the same manufacturer, so I'm wondering if it's possible that your pharmacy DID give you Veramyst, but it's not clear in the enclosed patient information sheet you got.   The difference between the 2 preparations is that in Flonase, the fluticasone is bonded with propionate and in Veramyst, it's with furoate, as you said. Those are not meds in and of themselves, just chemicals that help the fluticasone do its job. That difference probably accounts for the smell vs. nonsmell.   As far as I can tell, there's no significant difference between the 2 medicines, though studies proving Veramyst's efficacy with eye allergy symptoms enables it to market that. In reality, though, anecdotal evidence pretty much shows that most nasal steroids help with eye symptoms too.   If you really want to know what the pharmacy gave you and why they made a substitution (if they did), I'd ask them. Substitutions can be made if the doctor checks off OK on his prescription form. Health insurance may also specify a substitution.   Hope you find some relief, Kathi